Distal biceps tendon repair rehab protocol

Department of Rehabilitation Services Physical Therapy Distal Bicep Tendon Repair- Rehabilitation Protocol The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course for a patient that has undergone a distal biceps tendon repair biceps tendon Radius bone Figure 1: The biceps muscle lies on the front of the upper arm and has two heads. At the shoulder there are two tendon attachements, where as at the elbow there is one tendon (distal) attaching to the radius bone of the forearm. Repair of the biceps tendon End of tendon trimmed Sutures placed Figure 2: Distal biceps. Rehabilitation Program for Distal Biceps Repair Phase I (week 1) ¾ Posterior splint at 90 degrees of elbow flexion ¾ Wrist and hand gripping exercises Phase II (week 2-6) ¾ Elbow ROM brace o Week 2 @ 45-100 o Week 4 @ 30-115 o Week 6 @ 15-130 ¾ Shoulder exercises (rotator cuff) ¾ Scapular strengthenin

Distal Biceps Tendon Repair - Rehabilitation Protocol Distal Bicep Tendon Repair- Rehabilitation Protocol The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course for a patient that has undergone a distal biceps tendon repair. It is by no means intended to be a substitute for one. Distal Biceps Tendon Repair Rehab Protocol 2 pathology. • Method of Repair: A variety of methods have been used for distal biceps repair. Dr. Eichinger will typically use a single incision, transverse volar forearm repair. Occasionally a more proximal transverse incision in the distal brachium is required to retrieve retracted tendons or. DISTAL BICEPS TENDON REPAIR PROTOCOL PG. 1 . Distal Bicep Tendon Repair Protocol . Applicability: Physician Practices Date Effective: 09/2013 Department: Rehabilitation Services Date Last Reviewed: 1/202

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  1. Distal Biceps Tendon Repair Rehabilitation Protocol The following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. • Patient will be fitted with a hinged, limited ROM brace (LROM) preoperatively
  2. The following rehab protocol is to allow sufficient protection of the repair while the tendon heals back down to bone while at the same time preventing elbow stiffness. Your protocol may be modified by the surgical team to meet your specific needs. Below is a template for a distal biceps repair rehab protocol: Phase One
  3. Ramsey ML. Distal Biceps Tendon Injuries: Diagnosis and Management. Journal of the American Academy of Orthopedic Surgeons. 1999; 7: 199-207. Hurov JR. Controlled active mobilization following surgical repair of the avulsed radial attachment of the biceps brachii muscle: a case report. Journal of Orthopaedic and Sports Physical Therapy

DISTAL BICEPS REPAIR WITH ENDOBUTTON REHABILITATION PROTOCOL WEEK 1 -Sling for comfort.-The elbow is maintained in 90° flexion and the forearm in neutral rotation for the first week. -Begin hand/finger ROM on POD 1.WEEK 2-3 -Initiate scar management -Patient is placed in a hinged splint with a dynamic flexion component; -Active extension is limited to -30° by a built-in extension block Use free movement to tolerance; adopting the overhead position for rehabilitation NOTE: The elbow is a very proprioceptive vacant joint and therefore overhead positional rehabilitation using visual feedback can be very useful as well as using a tubigrip to aid with tactile feedback and improve proprioception. Late Stage 8-12 weeks Distal Bicep Tendon Repair- Rehabilitation Protocol Initial Postoperative Immobilization x Posterior splint, elbow immobilization at 90° for 7-10 days with forearm in neutral Hinged Elbow Brace x Elbow placed in a hinged ROM brace at 7-10 days postoperative. Brace set at 45 ° to full flexion Distal Biceps Tendon Repair Rehabilitation Protocol! The intent of this protocol is to provide the clinician with a guideline of the post-operative reha-bilitation course of a patient that has undergone a distal biceps repair surgery. It is by no means in

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Distal Biceps Repair Protocol Robert H. Rolf, MD . Phases of Rehabilitation: Phase Time Period Brace Exercise Maximum Protection Phase . 0-1 week Brace Locked at 90 No Motion . Moderate Protection Phase . 1-3 weeks Brace unlocked 0-135 as patients PROM allows AAROM Elbow, PROM Elbow and Forearm as tolerated . Minimal Protection Phase . 3-6 week Distal Biceps Tendon Repair . Please follow the protocol along with the instructions listed on the patient's referral . This protocol was developed for patients who have had a primary repair of the . distal biceps. tendon. The goal of the rehabilitation is to gradually regain motion in the elbow joint and eventually regain strength Home / Rehab Protocols / Shoulder PT / Post-Operative Distal Biceps Tendon Repair Rehab Protocol. Download Distal Biceps Tendon Repair Rehab Protocol. First Post-Op Visit: Sling and Splint all times; 2-6 Weeks: Please make patient removable extension block splint at 45°.

Rehabilitation Protocol Triceps Tendon Repair Phase I: Protect Repair (0 to 2 weeks) • Precautions o Elbow immobilized in posterior splint at 60° elbow flexion for 1st 2 weeks o No active elbow extension 6 weeks • ROM o Gradual ↑ Active/Passive ROM of shoulder in all planes while in splint o Wrist/hand/finger full AROM in splin Sports Medicine Physical Therapy. Mass General - Boston. 175 Cambridge Street, 4th Floor. Boston, MA 02114. Phone: 617-643-9999. Fax: 617-643-0822. Explore Our Sports Physical Therapy Rehabilitation Protocols. Knee Distal Biceps Tendon Repair Rehabilitation Protocol. Distal Biceps Tendon Repair Rehabilitation Protocol-Brigham and Women's Hospital. Phase I: Initial Post-Operative Immobilization (Days 0-7) Elbow is immobilized in brace selected by surgeon; Phase II: Mobility Phase (Weeks 2-8 Rehabilitation protocols. The Gundersen Health System Rehabilitation Programs are evidence-based and soft tissue healing dependent programs designed to allow patients to progress to vocational and sport-related activities as quickly and safely as possible. Individual variations will occur based on patient tolerance and response to treatment DISTAL BICEPS TENDON REPAIR- Endobutton REHABILITATION PROTOCOL RANGE OF Posterior Splint THERAPEUTIC MOTION EXERCISE PHASE I Begin active/passive flex Remain in splint and sling Gentle wrist and shoulder ROM 0 - 2 weeks and active extension Begin A/P pronation and sup in splint 8 times per da

Distal Bicep Tendon Repair Protoco

Distal Biceps Tendon Repair PG. 1 Distal Bicep Tendon Repair Protocol Applicability: Physician Practices Date Effective: 09/2013 Department: Rehabilitation Services Date Last Reviewed: 10/2016 Supersedes: n/a Or Date Last Revision: Administration Approval: Amy Putnam, VP Physician Services Purpose: Define the protocol to be followed for all. DISTAL BICEPS TENDON REPAIR REHAB PROTOCOL 0 - 10 DAYS Sling for comfort for 2-3 days; no need to wear at home Wrist ROM: use muscles to gently roll wrist so that the hand is facing up; do not use pressure, just allow the wrist to roll as much as it allows; you may assist-rol

Distal Biceps Tendon Injuries - Jared Lee, M

  1. Distal Biceps Repair Rehab Protocol The distal biceps is a tendon that is commonly ruptured in the fourth and fifth decade in males. The distal biceps structure is the main flexor of the elbow. It does promote supination of the wrist as well. Commonly the injury is noted with ecchymosis over the antecubital fossa with deformity of the biceps
  2. ibico /\n{Ç În£ äÎnn \n{Ç În£ än££ Distal Biceps Tendon Repair Post-Operative Rehabilitation Protocol Illinois Bone & Joint Institut
  3. • Physical therapy is recommended after distal biceps repair surgery, as there are many important things to monitor and consider during recovery. • Physical therapy will begin after your first post-op visit. • The duration of physical therapy will be different for each patient but will typically last several weeks

Post-operative Rehabilitation Protocol Rotator Cuff Repair ___ Biceps tenodesis Most patients will start PT at 6 weeks post op Patient will wear a sling for 6 weeks post-op Unless otherwise specified, do not begin PT until patient has seen MD for 2 week post-op visit. If biceps tenodesis - no resisted elbow flexion for 3 months post op PHASE I Below you will find a list of physical therapy protocols that can be followed after having a procedure performed by Dr. Rolf. These are intended to provide guidelines of progression in recovery. Distal Biceps Repair - Protocols for elbow surgery. Quadricep Tendon Rupture - Protocol for knee surgery Post-Operative PCL Knee Reconstruction. Post-Operative Knee Posterior Lateral Repair. Post-Operative Knee Distal Patellar Realignment. Post-Operative Knee Medial Patella Femoral Ligament Reconstruction. Post-Operative Patellar Tendon Repair. Post-Operative Arthroscopic Knee Meniscus Repair

Safe and effective rehabilitation following distal biceps repair is accomplished through a phased progression, with avoidance of premature stress to the healing soft tissue repair.The purpose of this clinical commentary is to provide a concise review of distal biceps tendon injury, including relevant anatomy, etiology, diagnosis, and operative. Title: Distal Biceps Tendon Repair - Physical Therapy Protocol - MCS15246-31 Author: Samantha Kueny Keywords, , , Created Date: 7/22/2019 10:13:08 A BICEPS TENDON REPAIR REHABILITATION PROTOCOL RANGE OF IMMOBILIZER THERAPEUTIC MOTION EXERCISE PHASE I None Locked in neutral - worn at all Gentle wrist and shoulder ROM 0 - 3 weeks times PHASE II Active extension to 30 Worn at all times (including Continue with wrist and shoulder ROM, 3 - 6 weeks in brace exercise) - removed for hygiene begin active extension to 30 , N

Distal Biceps Repair Rehab - Adam Watson Orthopaedic Surgeo

Distal Biceps Tendon Repair Indications Complete rupture of the distal bicep tendon at its insertion with contracture. Considerations 1. Repair should occur within the first three to six weeks post-rupture in order to restore the normal muscle/tendon unit length and avoid contracture. 2 Distal biceps tendon repair using the BicepsButton and tension-slide technique allows the surgeon to tension and repair the biceps tendon through a single anterior incision. The combination of the cortical button fixation coupled with an interference screw creates a strong, anatomic repair. Surgical Techniqu

needs to learn more about biceps tenodesis and rehabilitation we recommend reading: Krupp RJ. Kevern MA. Gaines MD. Kotara S. Singleton SB. Long Head of the Biceps Tendon Pain: Differential Diagnosis and Treatment. JOSPT. 2009; 39(2): 55-70. If further information regarding the various biceps tenodesis surgical techniques th Distal Biceps Tendon Repair or Reconstruction. click here to download protocol. Indications: Acute (within 3/52) traumatic distal biceps rupture. Chronic distal biceps tendon ruptur

About Christopher Ahmad. Christopher S. Ahmad, M.D. is a Professor of Clinical Orthopedic Surgery at the Columbia University College of Physicians and Surgeons and an Attending Orthopedic Surgeon at the New York-Presbyterian/Columbia University Medical Center A rupture is considered 'acute' if it happened within the past 3 weeks. Beyond this time, repair may be difficult or impossible. If you think you have ruptured your distal biceps tendon you should seek an orthopaedic opinion as soon as possible. Distal biceps repair is a surgical procedure to mend or reconstruct a ruptured biceps tendon Listed below are physical therapy (PT) protocols categorized by physician. Dr. Awowale. ACL Reconstruction. ACL Reconstruction with Meniscus Repair or Microfracture. Hip Arthroscopy. Rotator Cuff Repair Protocol. SLAP Repair, Bankart Repair, or Biceps Tenodesis. Total Shoulder or Reverse Arthroplasty Protocol Dr. DeVries. Achilles Tendon Repair. Jerome, E. (2006, January 1). Distal bicep tendon repair- rehabilitation protocol. Retrieved September 16, 2014. The increase in activity amongst the population leads to ramifications of increased incidence of injuries such as distal biceps brachii tendon ruptures. Research on the subject is limited to retrospective studies, case studies, an

Physical Therapy for Biceps Tendonitis. Brett Sears, PT, MDT, is a physical therapist with over 15 years of experience in orthopedic and hospital-based therapy. Mohamad Hassan, PT, DPT, diagnoses neuromuscular and orthopedic conditions, including sprains, strains, and post-operation fractures and tears Patellar Tendinopathy. Hop Test Instructions. Shoulder. Adhesive Capsuliis of the Shoulder. Bankart Repair. Posterior Capsular Stabilization. Repair of Rotator Cuff Tears (Uncomplicated) Repair of Rotator Cuff Tears with Retraction. Repair of Large Rotator Cuff Tears without Retraction > 2.5cm

Distal Biceps Tendon Repair Protocol » Hamilton

The recent trend in postoperative rehabilitation of acute distal biceps tendon repairs has been towards pushing for early range of movement, as the risk of tendon retraction and postoperative complications is less 1 2.However, in chronic repairs, the exact protocol will depend on the quality of the tendon at the time of surgery, and if tendon grafting is needed Distal biceps tendon repair is performed by reattachment of the tendon into the radial tuberosity of the radius. The surgery can be performed either through a single-incision (transverse or longitudinal) anterior approach or a dual-incision anterior and posterior approach. Care should be taken to reattach the tendon to the apex of the radial. Delayed repair of distal biceps tendon ruptures is successful: a case-control study. J Shoulder Elbow Surg. 2017; 26:1031-1036. Freeman CR, McCormick KR, Mahoney D, et al. Nonoperative treatment of distal biceps tendon ruptures compared with a historical control group. J Bone Joint Surg Am. 2009; 91:2329-2334

Distal Biceps Repair Protocol - MG Orthopaedic

attachment of the biceps tendon on the shoulder socket (glenoid fossa) is cut rehabilitation guidelines for Biceps tenodesis together as a mass. A keyhole is made in the groove of the humerus, the tendon surgical repair/reconstruction. Figure 2a Normal long head of bicep The distal biceps tendon stump will be located and repaired back to its attachment site on the radial tuberosity, which is the bone that the biceps normally attaches. Depending on the type of tear, Dr. Mazzara will create a small bone tunnel in the radius and insert the distal biceps into that tunnel so that it heals securely to the bone

Post-Operative Distal Biceps Tendon Repair Rehab Protocol

  1. During distal biceps tendon repair, your surgeon makes a small incision over the upper forearm, where the biceps muscle attaches to the radius bone. The torn biceps tendon is brought up through the incision. Then, the radius bone is prepared for tendon reattachment and to promote healing. Two suture anchors are inserted into the bone
  2. Biceps tendon tears at the elbow: Although two tendons attach the biceps muscle to the bone at the shoulder, only one tendon attaches it to the elbow. This is known as the distal biceps tendon. Tears of the distal biceps tendon are usually complete and the muscle is separated from the bone. Tears of the distal biceps tendon most often result.
  3. A distal biceps tendon rupture is a painful injury of the elbow. In this video, I discuss the common mechanism of injury, which patients could need surgery a..
  4. Distal biceps tendon repair two weeks rehab signs sensations normal feelings accelerated rehab things to avoid things to expect things you can do that your t..
  5. Distal Biceps Ruptures. The distal bicep tendon ruptures when the biceps muscle is maximally contracted against a load and the load is greater than the biceps can hold. The tendon tear is generally complete but partial tears can occur. In the complete tears the tendon rips off the bony attachment on the radius (forearm bone)
  6. Rehabilitation protocols are an important tool that you can use to: Assure you are following the precautions and time restrictions based on the tissue healing time frames following injury or surgery. Know how fast or slow to progress a patient. Know if you are falling behind and assure people are making adequate progress
  7. Rehabilitation Program Following Proximal Biceps Tendon Repair Shoulder Brace: wear for daily activities & sleeping for 4 weeks Range of motion Week 1-2 • Shoulder PROM flexion approx. 90° initially then gradually increase during first 2 weeks • Shoulder PROM ER/IR @ 45° ABD to tolerance (caution w/ excessive ER

Sports Medicine Physical Therapy Rehabilitation Protocol

Recovery time after a biceps tendon repair will vary, based on any other repairs that occurred with the surgery. Typically, patients are placed in a sling for about 4 weeks which can be taken off to shower or to do physical therapy. Dr. Nwachukwu will have a set of post-surgical protocols that require physical therapy and exercises to be done. A distal biceps rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. This injury occurs mainly in middle-aged men during heavy work or lifting. A distal biceps rupture is rare compared to ruptures where the top of the biceps connects at the shoulder. Distal biceps ruptures make up only three percent of all biceps tendon ruptures

Distal Biceps Tendon Repair Rehabilitation Protoco

Adam is an orthopaedic surgeon Hobart, who specialises in Shoulder, Hip and Knee Surgery. He provides subspecialist services in arthroscopic and open treatment of knee and shoulder sporting injuries. He also offers complex hip, knee and shoulder replacement surgery, including revision surgery and Direct Anterior Approach Hip replacement A distal biceps tendon rupture refers to a complete tear of the biceps tendon at the elbow. It typically occurs in 30-50 year old males when trying to perform an elbow contraction such as an arm curl, or a lifting, throwing or catching activity that is too heavy or too overloaded. Distal biceps tendon ruptures occur suddenly, with associated

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  1. A similar rehabilitation protocol was used in all patients, with formal sessions 3 times per week. A systematic review 2 of distal biceps tendon repair outcomes at 1 year yielded an average DASH score of 37. We noted mean DASH scores of 3.1 and 6.8 in the acute and chronic groups, respectively
  2. Distal Biceps Tendon Repair Rehabilitation Guidelines Name: Date: Diagnosis: Date of Surgery: IMMOBILIZATION • Posterior splint • Elbow immobilization at 90 degrees for 7-10 days BRACE • Elbow placed in ROM brace at 7-10 days post-operative • ROM set at 45 degrees to full flexion.
  3. Distal Biceps Tendon Repair Rehab Protocol POSTOPERATIVE MANAGEMENT: Posterior splint at 90 degrees of elbow flexion. Keep this dry. Wrist range of motion and hand gripping exercises Week 2 (After post-op visit)- Week 5: • Transition from posterior splint to hinged elbow brace o Week 2: ROM 45-100 o Week 4: ROM 30-115 o Week 6: ROM 15-13

Distal Bicep Tendon Repair Protocol Northwestern Medical

  1. Distal Biceps Repair Rehab Protocol. Rupture of the biceps tendon may be either an acute or chronic injury. Treatment may be either surgical or non-surgical, however, it is generally agreed, that young, active patients tend to have better outcomes with surgical repair. Wit
  2. POST-OPERATIVE PROTOCOL Distal Biceps Tendon Repair - Rehabilitation. Posterior splint or sling for 4-6 weeks: 2-4 weeks around the clock, 2 weeks at night only. Week 1 Post-op 1) Begin passive range of motion in flexion from 60-130o and extension to 60o 2) Begin passive supination. Week 2 Post-op 1) Brace to be worn at all times, except while.
  3. Distal Biceps Tendon Repair Protocol . Days 3-7 • Patient in elbow ROM brace locked at 90 degrees at all times outside of PT • Remove surgical bandages • Educate patient on brace donn/doff • Shoulder/Scapular AROM exercises • Wrist AROM exercises . Week 1-2 • Brace will be locked at 90 degrees until 6 weeks post-o
  4. Rehabilitation Protocol: Distal Biceps Tendon Repair - Accelerated Protocol . This is a general guideline. Certain patients may require extra attention to certain areas of their body or portions of the protocol. Always listen to your therapist; a protocol never replaces their good clinical judgement
  5. Biceps Tendon Repair !erapy Instructions Laith Al-Shihabi, MD 1 week Brace: -Remove postoperative dressings and !t patient with hinged elbow brace allowing motion from 45 degrees to full exion. -A resting long-arm night splint holding the elbow in 90 degrees and wrist in neutral may be fashioned at th
  6. Distal Biceps Tendon Repair or Reconstruction Indications: Acute (within 3/52) traumatic distal biceps rupture Chronic distal biceps tendon rupture Milestones; Acute • 6/52 Full ROM flexion / extension / supination / pronation Pain free, Driving, Working • 3/12 >90% strength in comparison to opposite side flexion/ Supinatio
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Rehabilitation Protocol: Distal Biceps Tendon Repair - Accelerated Protocol Rehabilitation Protocol and Post-op Instructions: Distal Biceps Tendon Repair - Moderate Protocol Postoperative Extensor Mechanism Repair (Quad/Patella ORIF/Patellar Tendon Repair or Reconstruction) Physical Therapy Protocol Click any button below to learn about our Therapy Protocols. 2 Stage Tendon Grafts Lecture. 4 Corner, STT, RSL Partial Wrist Fusion. Biceps Tenodesis. Bony Mallet Fracture CRPP. Both Bone (Radius and Ulna) Forearm Fracture ORIF. Carpal Tunnel Release. Clavicle Nonoperative. Clavicle ORIF Elbow distal biceps andrewarthurmd.com 1 Overview This is a protocol that provides you with general information and guidelines for the initial stage and progression of rehabilitation according to the listed timeframes. Specific changes may be made by the care team as appropriate given each patient's operative findings. Question Rehabilitation Guidelines for Distal Biceps Tendon Repair. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. It is not intended to be a substitute for one's clinical decision making REHAB PROTOCOLS. Achilles Tendon Repair. ACL GYM Rehabilitation. Acromioclavicular Ligament (AC) Reconstruction. Anterior Cruciate Ligament Reconstruction. Anterior Labral Repair. Biceps Tenodesis. Clavicle Fracture. Distal Biceps Tendon Repair

Rehabilitation protocols help patients most in noting the specific timing of activities and exercises relevant to their condition. Distal Biceps Tendon Repair Protocol. Download (PDF, 10KB) 2) Post-Op Protocol for Lateral Epicondyle Debridement. Download (PDF, 14KB) 3) Throwing Program Distal Biceps Tendon Repair Protocol * If the patient underwent a distal biceps tendon reconstruction using a graft, please consult with the office in regards to therapy modification. * PHASE I (days 1-14) • Splint at 600 in neutral forearm rotation • Use sling if neede

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Post-operative Rehabilitation Protocols. Kristofer J. Jones, MD Contents Patient Resources Rehabilitation Post-Operative Rehabilitation Protocols. Please click on the following forms for more information: Ankle - Achilles Tendon Repair. Elbow - Distal Biceps Tendon Repair DR. STRICKLAND PT PROTOCOLS. Please select your advised protocol from your visit to help maximize your recovery. For questions or assistance, please call (316) 630-9300. Ankle. Achilles Tendon Repair Elbow. Distal Biceps Tendon Repair. Distal Biceps Tendon Repair - Accelerated. Interval Throwing Program - Part I. Interval Throwing Program. However, the anatomy of the distal biceps brachii tendon makes imag-ing of the distal tendon somewhat difficult. An innovation in patient positioning for magnetic resonance (MR) imaging of the distal biceps tendon was recently described in which the patient lies prone with the arm overhead, the elbow flexed to 90°, and the forearm supinated, s Flexor Tendon Repair Zones I-IV: Extensor Tendon Repair Zones V & VI: Distal Biceps Tendon Repair: Distal Radius Fracture: Cervical Fusion Rehabilitation: Arthroscopic Rotator Cuff Repair Protocol: Acromioplasty: 1st CMC Arthroplasty: ACL Rehabilitation Protocol-Traditional: Achilles Tendon Repair Protocol: Cancer Rehabilitation: Dizzy/Balance.

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Distal Triceps Tendon Repair . Please follow the protocol along with the instructions listed on the patient's referral . This protocol was developed for patients who have had a primary repair of the . distal triceps . tendon. The goal of the rehabilitation is to gradually regain motion in the elbow joint and eventually regain strength DISTAL TRICEPS REPAIR PROTOCOL 0-4 Weeks Post-Op: General Guidelines • Patient will be in rigid splint in elbow extension for two weeks. Stage I: (Week 3-6): • Patient fit with IROM elbow brace, to be worn at all times except bathing. Brace locked at 30 degrees — as specified by physician — for weeks 3-6 • Physical therapy starts week 4 Physical Therapy Protocols; Articles & Videos; Schedule now; 703-277-2663 Post-operative instructions for distal biceps tendon repair (You will receive your customized post-op instructions after your surgery.) Activity and Restrictions. Please avoid lifting anything heavier than a cup of coffee for the first week following surgery.. Distal Biceps Rupture Overview and Repair. The bicep is the main muscle on the front of the arm that helps you in moving your elbow and revolving your forearm. The muscle connects to the forearm bone through a tendon, which functions as a rope at the end of the muscle. A distal biceps rupture is a tear of the tendon from the forearm bone